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HomeMy WebLinkAboutLat_13937DistantViewAvenuePERMIT NO. WASHINGTON COUNTY SANITARY DISTRICT 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 1301) 791-3083/3084 DATE P.O. BOX 571 PERMIT TO CONNECT TO PUBLIC SEWERAGE/1140M SYSTEM Permission is hereby given to: 3e eta 1 F3 > 41-L ' For Property Located at: 330 Mt View AVenijr Owned by: 3ei'nard F Barglel Address: P-0- Sox 4,11 ,1,Aaijqan,vi 1 te, Mn 21767 Type of Connection: To Service Connection + To Main Line: Type of Service: Residential ( l) Units Other Commercial Industrial Meter Size Connection Fee $620 • UU Date Paid 'j-26'$4 To connect to a public seweragefr system (with proper abandonment of previous private system). The installation of the connection and the abandonment of the previous private system shall conform with the provisions of the Laws of the State of Maryland and Washington County Sanitary District Specifications. This permit does not supersede any local ordinance that is in effect with regards to road cutting, etc. ALL OTHER PERMITS, STATE AND LOCAL, MUST BE OBTAINED BY THE PROPERTY OWNER AND ALL RESPON- SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER. Secretary -Treasurer Building Permit No INSPECTION: At least 48 hours notice prior to requested date of inspection is required. ON SITE INSPECTION will be made by Washington County Plumbing Board 33 W. Washington Street Hagerstown, Maryland 21740 Telephone: 791-3146 Permit Fee Final Inspection Made BY: Q Date "t" �--7" Plumbing Inspector OFF-SITE INSPECTION (in Public Rights -of -Way and Easements) and certain ON-SITE INSPECTION in accordance with applicable approved construction drawings will be made by: Washington County Sanitary District 33 W. Washington Street-P.O. Box 571 Hagerstown, Maryland 21741-0571 Final Inspection Made By: DISTRIBUTION: Permittee 1 Plumbing Board_4 Field Offi Date WASHINGTON COUNTY SANITARYSTRICT UASHINGTON COUNTY, SID. Project: MaugansvilleZOrchard Hill Street (or location) :_ 33o MT. y. Contractor: Callas Contractors, Inc, Date Installed /?-Z3- $3 A SANITARY SEWER LATERAL CONSTRUCTION RECORD SD15-1-5 13q3 -71's cwr� p i Z 019) V,`.ew A-1, . � F MH Y o 3 T O M H 3,2' 6 Wye Sta. On Main p+y2 6 WYE S1Lt- I TIJL LILY 1 fl S-IZE TYPE PIPE C.O. C.O. LATERAL LENGTH LENGTH 6" pve *Harz.= Total 6x 6 x g" Pve 5.3i SDP 3 S SD[ z6 St'd. 37.0 3S./a Dro�o pe + z=T Dro NOTES: E3 wif-T Mqq CLEAN��T 3 7 C ( E AQ 4 Svc E Depth of Cleanout S 3/ (flow Line Cleanout 32.7 From Meq;,, Layed Z ro AID Basement Service w N J MH '- X/03 MH# 37� Amounts pertaining to Work completed this period, reviewed and approved. BY spnu�- WCSU Ins ctor Contractors Rep. 739 - (om1-s Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 /393-7 D,sicL--Y Y,e,,-)kve Contract No. SD15-1S Property Address: 3Mountain View Avenue MH 403 to MH 376 Dwg. #601-043 Place an 'X' in the sketch below to indicate where the property owner wants the service connection (lateral) to enter the property. Place a wooden stake in the ground at that location. I 10 CD — :� DMH SD 15-403 J _ 8SAN MAC.) (328) I 0 z W o .o W J o The undersigned agrees that the Sanitary District may excavate an additional five (5) feet inside the property line so as to facilitate, and make less expensive, the owner s connection to the lateral and to prevent damage to the cleanout which will be installed by the District at or near the property line. Date: 1E/?/Vf�2v/� Ow/neer rant) Owne Signature Attest: Was . Co. Sanitary District (Form WCSC-1) Replaces Form WCSC-56 WASHINGTON 33 West Was COUNTY SANITARY DISTRICT ton Street, Hagerstown, Maryland 21740 ■ (301) 791-3083 15ANITARY UV5T To: Callas Contractors, Inc. I hereby request the contractor to install the lateral in accordance w1th the following conditions: Address 330 M Slgned Property 0 r Date ye - Washington County Sanitary District 33 West Washington Street Hagerstown, Maryland 21710 Re: Maugansville/Orchard Hills Sewers Contract N :) . SD15-1-S Gentlemen: We herEby request permission to install the house lateral of greater than two (2) percent and/or in accordance with the above conditions at no change in contract price at the following location: Requested by Callas Contractors, Tnc.�a Approved by W.C.S.D. Insp Date _ r�U -1983 15ANITARY UV5T To: Callas Contractors, Inc. I hereby request the contractor to install the lateral in accordance w1th the following conditions: Address 330 M Slgned Property 0 r Date ye - Washington County Sanitary District 33 West Washington Street Hagerstown, Maryland 21710 Re: Maugansville/Orchard Hills Sewers Contract N :) . SD15-1-S Gentlemen: We herEby request permission to install the house lateral of greater than two (2) percent and/or in accordance with the above conditions at no change in contract price at the following location: Requested by Callas Contractors, Tnc.�a Approved by W.C.S.D. Insp Date _